Highland Oaks is certified as a Medicaid facility and has been approved to provide these services since 1986-04-29. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (847) 741-4543 or your local Medicaid office to verify current eligibility.

Highland Oaks holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 5 out of 5 stars. This is made up of three components: Health Inspection (5★), Staffing (5★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 85.9/100, placing it #1409 of 14703 facilities nationally and #26 of 668 in Illinois. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Highland Oaks receives a reported average of 5 hours 1 minute of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 59 minutes; Licensed Practical Nurse (LPN) — 34 minutes; Nurse Aide — 3 hours 28 minutes. On weekends, total nurse staffing is 4 hours 27 minutes per resident per day. The CMS Staffing Rating for this facility is 5 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 31.4%. Families are encouraged to ask about current staffing schedules during their facility visit.

Highland Oaks has received zero fines across all five years of available data (2022–2026), reflecting a strong regulatory compliance record. No substantiated complaints have been recorded in the available data. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 19.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Highland Oaks ranks 1409th out of 14,703 facilities (composite score: 85.9/100), placing it in the top 10% nationwide. Within IL, it ranks 26th out of 668 nursing homes. In Elgin, it ranks 1st out of 8 facilities. Among facilities sharing its ZIP code, it ranks 1st of 5. For 2026 staffing: total nurse hours rank #1,188 nationally and RN hours rank #2,119 nationally (#112 in IL). Our composite quality score of 85.9/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Elgin, visit: https://nursinghomesnearme.org/illinois/elgin/